DOUGLAS MAIBENCO, MD PHD

Surgery

Active Individual
NPI: 1366424061

Practice Address

1730 E LAKE SHORE DR
Decatur, IL 62521

Phone: (217) 329-1000

Specialties

Specialty Code Primary License
Surgery 208600000X Yes 036098825 (IL)

Frequently Asked Questions

NPI 1366424061 is the National Provider Identifier for DOUGLAS MAIBENCO, MD PHD, a Surgery provider located in Decatur, IL. This NPI was enumerated on November 17, 2005.
DOUGLAS MAIBENCO, MD PHD practices at 1730 E LAKE SHORE DR, Decatur, IL 62521.

Quick Facts

NPI
1366424061
Type
Individual
Enumerated
Nov 17, 2005
Last Updated
Jan 6, 2022

Nearby Providers